Tonekaboni Fatemeh Qasempoor, Pashaeypoor Shahzad, Haghani Shima, Nikpeyma Nasrin
Master of Community Health Nursing, Tehran School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Department of Community Health and Geriatric Nursing, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
BMC Nurs. 2025 Apr 22;24(1):443. doi: 10.1186/s12912-025-03083-z.
Long-term care comes with risks, including caregiver strain. The strain negatively affects caregivers and care quality for the elderly. Enhancing resilience through education can lead to improved health outcomes. This research aimed to evaluate the effect of resilience education on family caregivers' strain of older people with chronic diseases.
This randomized clinical trial was conducted in Amol, Iran from August 2022 to May 2023. Participants were 84 family caregivers of elderly people with chronic diseases. They were selected based on inclusion and exclusion criteria through continuous sampling and randomly allocated to an intervention and a control group using block randomization. Data collected by demographic and Robinson's Caregiver Strain Index (13 items) questionnaire before, immediately after, and six weeks post-intervention. Resilience education consisted of six sessions delivered in person and electronically (via SMS) to the intervention group over three weeks, based on Henderson's resilience components training program. Statistical analysis was performed using various tests in SPSS software (v. 16.0) at a significance level of less than 0.05.
Analysis of variance with repeated measures by groups showed that caregiver strain in the control group did not have a statistically significant difference at any of the different times (p = 0.279). Two-by-two Bonferroni comparison showed that the caregiver strain immediately (18.11 ± 3.12) and six weeks after the intervention (18.78 ± 3.86) had a statistically significant difference compared to before the intervention (20.73 ± 3.51) (p < 0.001).
The resilience education was found to be effective in significantly reducing family caregivers' strain of older people with chronic diseases. Therefore, health centers managers and providers can use resilience education to alleviate strain among family caregivers.
The Thai Clinical Trials Registry TCTR20230424001 prospectively registered on 24 April 2023.
长期护理存在风险，包括照料者压力。这种压力会对照料者和老年人的护理质量产生负面影响。通过教育增强复原力可改善健康状况。本研究旨在评估复原力教育对患有慢性病老年人的家庭照料者压力的影响。
本随机临床试验于2022年8月至2023年5月在伊朗阿莫勒进行。参与者为84名患有慢性病老年人的家庭照料者。他们根据纳入和排除标准通过连续抽样选取，并使用区组随机化随机分配至干预组和对照组。在干预前、干预后即刻和干预后六周，通过人口统计学和罗宾逊照料者压力指数（13项）问卷收集数据。基于亨德森复原力成分培训计划，在三周内为干预组亲自授课并通过电子方式（短信）提供六节复原力教育课程。使用SPSS软件（v. 16.0）中的各种检验进行统计分析，显著性水平小于0.05。
组间重复测量方差分析表明，对照组在任何不同时间的照料者压力均无统计学显著差异（p = 0.279）。两两Bonferroni比较显示，干预后即刻（18.11 ± 3.12）和干预后六周（18.78 ± 3.86）的照料者压力与干预前（20.73 ± 3.51）相比有统计学显著差异（p < 0.001）。
发现复原力教育能有效显著降低患有慢性病老年人的家庭照料者压力。因此，健康中心管理人员和提供者可利用复原力教育减轻家庭照料者的压力。
泰国临床试验注册中心TCTR20230424001于2023年4月24日进行前瞻性注册。
